Chronic Pain

Question 1

define pain

Answer 1

unpleasant sensory and emotional experience associated with tissue damage

Question 2

types of pain

Answer 2

1. nociceptive
2. neuropathic
3. inflammatory
4. mixed

Question 3

neuropathic pain presentation

Answer 3

burning
shooting
tingling

Question 4

how can peripheral tissue injury change the nervous system

Answer 4

1. peripheral sensitisation= reduction in threshold of peripheral afferent nociceptors
2. central sensitisation= increased excitability of spinal neurones with changes in brain and spine

Question 5

presentation of chronic regional pain syndrome

Answer 5

commonly in a limb

Question 6

presentation of chronic pain

Answer 6

allodynia (increased pain to things that shouldn’t hurt)
hyperalgesia (more pain than expected)
swelling

Question 7

management of neuropathic pain

Answer 7

tricyclics

anticonvulsants